cannabis regulatory approaches · (cannabis expiation notices) 15 us states that have introduced...
TRANSCRIPT
Cannabis Regulatory Approaches
Cannabis Regulatory Approaches © Canadian Centre on Substance Abuse, 2015
CCSA, 500–75 Albert Street
Ottawa, ON K1P 5E7
Tel.: 613-235-4048
Email: [email protected]
Production of this document has been made possible through a financial contribution from Health
Canada. The views expressed herein do not necessarily represent the views of Health Canada.
The information provided in this document is up to date as of May 31, 2016
This document can also be downloaded as a PDF at www.ccsa.ca
Ce document est également disponible en français sous le titre :
Cannabis : approches réglementaires
ISBN 978-1-77178-291-3
Cannabis Regulatory Approaches
Canadian Centre on Substance Abuse • Centre canadien de lutte contre les toxicomanies Page 1
Regulatory Continuum Regulatory options for cannabis fall along a continuum, rather than into distinct categories. The diagram illustrates the continuum with
examples of the various approaches and countries that have implemented them.
Cannabis Regulatory Approaches
Canadian Centre on Substance Abuse • Centre canadien de lutte contre les toxicomanies Page 2
Summary of Approaches Model1 Component Description Advantages Possible Concerns Jurisdictional
Examples
Cri
min
aliza
tio
n
Alternative
Sanctions
Criminal
prohibition is
maintained,
with diversion
options
introduced
Means of avoiding a record of
criminal conviction
Retains objectives of denunciation
and deterrence
Continued compliance with
international conventions
Opportunity for unequal application due to
police discretion
Can still involve significant police and
justice system resources, depending on
model used
Australia, United
Kingdom, US states
Diversion —
Fine
Police have the
option of
issuing a ticket
with a fine
associated in
place of laying
charges
Reduced resource impact on
enforcement
Does not require significant
legislative change (e.g., could be
done through Contraventions Act)
Canadian Association of Chiefs of
Police have spoken in favour of this
option
Potential for net-widening (increased
enforcement) due to streamlined process
Although not a criminal record per se,
record of diversion for a drug offense can
still impede international travel
Potential for fines to differentially impact
marginalized or low socio-economic status
populations
South Australia
(Cannabis Expiation
Notices)
15 US states that
have introduced
varying fine options
(e.g., Maine, NY,
Rhode Island)
Diversion —
Treatment
Police have the
option to refer
individuals to
treatment in
place of laying
charges
Mechanism and incentive for access
to treatment for those who would
benefit
Most people who use cannabis do not
require treatment
Limited capacity in the treatment system
to handle additional demand
Legislative change required2
Treatment services are a provincial and
territorial (P/T) responsibility, so P/Ts
would bear the brunt of the resource
impact within a context of significant
health budget concerns and dissatis-
faction with federal transfer payments
Portugal
1 Note that the models and components fall across the continuum presented on page one and should not be interpreted as distinct categories.
2 The requirement for legislative change is noted as a concern in light of the time and resources required, not as an assessment of whether such change is the most appropriate means through
which to achieve policy goals.
Cannabis Regulatory Approaches
Canadian Centre on Substance Abuse • Centre canadien de lutte contre les toxicomanies Page 3
Model1 Component Description Advantages Possible Concerns Jurisdictional
Examples Escalating
warnings
Sanctions
associated with
possession
escalate with
the number of
police
encounters,
usually
beginning with
a warning
Opportunity to identify problematic
use through repeat encounters and
respond as appropriate (e.g., in
conjunction with diversion options
such as treatment)
Administrative burden of tracking number
of encounters
Potential complications with tracking
encounters across jurisdictional
boundaries without creating more formal
records that would then be accessible to a
broader range of partners (e.g.,
international border control)
Legislative change required
International evidence is not clear about
the success of this approach in achieving
social control
Different enforcement jurisdictions in
Canada might complicate accurate
tracking of encounters (e.g., municipal,
provincial, national, First Nations)
United Kingdom D
ecri
min
aliza
tio
n
Decriminal-
ization —
General
Non-criminal
penalties
replace
criminal
penalties for
selected
offenses such
as possession
Removes the potential for a record of
criminal charges for individuals in
possession of small amounts
(quantity to be determined)
Reduced enforcement resources
required to issue a fine versus lay a
criminal charge, therefore potential
cost savings at the provincial,
territorial and municipal levels
Potential for use as an interim
measure while a comprehensive
legalization framework is being
developed
When targeted to personal possession,
does not address issue of illicit supply, so
the black market remains
Potential for fines to differentially impact
marginalized or low socio-economic status
populations
Requires revision to legislation
Some debate about compliance with
international conventions
Australia, Portugal,
Netherlands, Spain
Civil fine The criminal
charges
associated with
personal
possession are
Retains denunciation component
Police in Canada have expressed
support for the tool of laying criminal
charges in cases of possession,
particularly where other criminal
activity is involved
Removes a strategic tool available for use
by police
Risk of net-widening (increased police
contacts) due to relative ease of issuing
fines versus laying charges
Vermont (although
still within federal
criminal legislation)
Cannabis Regulatory Approaches
Canadian Centre on Substance Abuse • Centre canadien de lutte contre les toxicomanies Page 4
Model1 Component Description Advantages Possible Concerns Jurisdictional
Examples replaced by
civil fines
Regulated
sites (i.e.,
cafes)
Use of
cannabis is
permitted in
designated
locations that
are subject to
regulations
Can set regulations to prohibit
access for youth, restrict product
forms and THC concentrations,
purchase quantities and so on
Does not address the issue of illegal
supply
Resources are required to develop and
enforce regulations
Netherlands
Collectives or
private
members’
clubs
Production,
distribution
and use are
permitted
among
members and
subject to
regulation (can
also take place
in a legalized
framework, as
in Uruguay)
Can set regulations to prohibit
access for youth, restrict product
forms and THC concentrations,
personal quantity allowances,
membership numbers and so on
Increased opportunity for quality
control and quantity regulation in
comparison to home production
A template for this approach exists
through private members lounges for
tobacco
Resources are required to develop and
enforce regulations
Potential for diversion of private product to
the illicit market
Involvement of organized crime noted in
some European locations
Potential for unequal application of the
law when comparing those with and
without access to a private club
Significant resources required for
monitoring compliance with production,
quality and operating regulations
Potential for profit motives to guide club
operations (e.g., expand membership and
increase production quantities)
Spain, Belgium,
Uruguay
Le
ga
liza
tio
n
Legalization -
General
Criminal
sanctions are
removed and
production,
distribution
and use are
subject to
regulation
Eliminates dual criminal–civil system
for production and distribution
versus use
Creates a broader framework for
regulatory strategies (e.g.,
restrictions on age, purchase
quantity and product format, quality
control, retail location restrictions
and marketing and promotion)
The Centre for Addiction and Mental
Health and the Canadian Public
In contravention of international
conventions
Potential impact on public health and
public safety (e.g., impaired driving,
emergency room admissions)
Uncertain impact on the black market and
organized crime
Requirement for a comprehensive
regulatory framework considering, for
example, limits on forms of sale such as
Uruguay,
Washington state,
Colorado, Alaska,
Oregon, Washington,
DC
Cannabis Regulatory Approaches
Canadian Centre on Substance Abuse • Centre canadien de lutte contre les toxicomanies Page 5
Model1 Component Description Advantages Possible Concerns Jurisdictional
Examples Health Association have publicly
expressed support for legalization
edibles, levels of THC, marketing and
promotion, and packaging (e.g., pre-rolled
versus bulk)
Tax revenue needs to be balanced against
cost of administering regulations and
investing in education, prevention and
treatment
Personal
production
Individuals are
allowed to grow
a limited
amount of
product
Potential quality control through
licensing regulations
Individuals are not reliant on industry
production (e.g., strain selection,
growing techniques, cost)
Risk of diversion
Enforcement of quantity and quality
controls is difficult
Washington, DC
(personal production
only)
Colorado, Alaska
(personal production
alongside retail
sales)
State-
licensed
production
State-issued
licenses are
required to
grow and
distribute
product
Note: can be
exclusive or
alongside
personal
production
Greater control over product
availability through licensing
requirements
Can set limits on quantity of
producers and product
Opportunity for quality control,
including THC concentrations
Model in place through licensed
medical producers
Significant resources required to
effectively monitor and enforce regulations
Challenges associated with either
consolidating medical and recreational
production or maintaining two distinct sets
of regulations
Washington,
Colorado
Open market
production
No special
license
required for
production
beyond
standard
health and
safety
Reduced regulatory and enforcement
burden on the state
Competitive commercial market likely to
reduce price and encourage increased use
Reduced ability for quality control might
pose a public health risk
None to date
Cannabis Regulatory Approaches
Canadian Centre on Substance Abuse • Centre canadien de lutte contre les toxicomanies Page 6
Model1 Component Description Advantages Possible Concerns Jurisdictional
Examples Limit to
state-
controlled
sales
Distribution
through state-
licensed
outlets only
State control over all aspects of retail
sales
Immediate state access to sales
revenue
Opportunity to expand existing state-
controlled alcohol outlets
Strongest support for containing
rates of use based on lessons
learned from alcohol
Puts the state in a position in which it is
selling a substance in breach of
international conventions
Uruguay (licensed
pharmacy model)
Private retail
sales
Private
retailers are
licensed by the
state to sell
cannabis
State can generate revenue through
license fees as well as sales tax
State has the ability to set licensing
and operating regulations
Many provinces are introducing
privatized alcohol sales, providing a
possible precedent and model for
private cannabis sales
Less direct access to sales revenue
Conflict between public health interests
and profit motives (e.g., pressure from the
commercial market about advertising and
promotion)
Colorado
Distinct
medical and
recreational
markets
Sales and
potentially
production are
governed by
distinct regula-
tions, pricing,
access and tax
structures, with
medical access
generally
having higher
purchase and
possession
limits, lower
taxes and
access by
minors
Provides a way to maintain lower
pricing for those with recognized
medical conditions
Recognizes the possibility of different
needs (e.g., quantities, strains,
formats) for medical use
Potential for diversion between systems
Maintains a gatekeeper role for physicians
regarding medical access
Potential for abuse of the medical system
to take advantage of lower pricing (e.g.,
doctor shopping)
Resource demand associated with
maintaining two regulatory systems
Regulation and enforcement is more
complex
Colorado
Cannabis Regulatory Approaches
Canadian Centre on Substance Abuse • Centre canadien de lutte contre les toxicomanies Page 7
Model1 Component Description Advantages Possible Concerns Jurisdictional
Examples Merged
medical and
recreational
markets
A single access
system is in
place regard-
less of whether
the purpose for
use is
therapeutic or
recreational
More streamlined regulation and
enforcement
Challenge of designing a single regulatory
system that respects court decisions
focused on ensuring ease of access and
public health considerations, while
controlling access within the recreational
context
In Canada, access to cannabis for medical
purposes has been largely determined
through the courts, requiring any
developments in the recreational market
that influence the medical market to be
reviewed in light of compliance with court
decisions
Washington
Cannabis Regulatory Approaches
Canadian Centre on Substance Abuse • Centre canadien de lutte contre les toxicomanies Page 8
Legalization Regulation at a Glance The following table provides an overview of the regulatory details developed in Colorado, Washington state, Oregon, Alaska and Uruguay.
Note that this overview does not provide a comprehensive description of all associated fees, regulations and so on, and that regulations
continue to evolve as this report is being published. Readers should consult with the respective jurisdictional regulatory authorities for
additional details and to ensure currency of information.
Colorado Washington State Oregon Alaska Washington, DC Uruguay
Status Retails sales began
January 1, 2014
Retail sales began
July 8, 2014
Limited sales from
existing medical
marijuana
dispensaries began
October 1, 2015
Oregon Liquor
Control Commission
accepting license
applications
Retail sales expected
in mid-2016
Final rules to be
developed and
reported to
legislative bodies by
January 1, 2017
Law in force as of
February 24, 2015
Retail licenses to be
issued in May 2016
In effect as of
February 26, 2015
Cooperatives and
personal production
in place in 2014
State-authorized
producers have
been identified
Call for applications
for pharmacy
licenses closed
May 16, 2016
Initiation of
pharmacy sales
estimated in
summer 2016
Personal
possession
and/or sales
limits
1 oz 1 oz dried
16 oz infused solid
product
72 oz infused liquid
product
1 oz dried
16 oz infused solid
product
72 oz infused liquid
product
5 g extracts or
concentrate
4 immature plants
10 plant seeds
1 oz; can also
possess all product
grown from home
7g concentrate
Products containing
up to 5,600 mg THC
2 oz 40 g/month
purchases from
pharmacies;
maximum
480g/year
Cannabis Regulatory Approaches
Canadian Centre on Substance Abuse • Centre canadien de lutte contre les toxicomanies Page 9
Colorado Washington State Oregon Alaska Washington, DC Uruguay
Age
restrictions
21 21 21 21 21 18
Personal
production
Up to 6 plants (max.
3 mature)
Must be in
enclosed, locked
space
No Up to 4 plants and
8 oz dry marijuana
16 oz in solid form
72 oz in liquid form
16 oz concentrates
Can transfer these
amounts for non-
commercial
purposes (limit of
1 oz dried product)
Production of
extracts prohibited
Up to 6 plants in a
household residence
(max. 3 mature)
Up to 6 plants in a
primary personal
residents (max. 3
mature)
Up to 6 plants per
household with a
harvest of no more
than 480 g/year
Commercial
production
Yes, state licensed
Mandatory tracking
system
Yes, state licensed
and capped
Mandatory tracking
system
Yes, state licensed
Mandatory tracking
system
Yes, state licensed,
indoor and outdoor
permitted
Mandatory tracking
system for plants
over 8” high
No Yes, state licensed
Retail
distribution
Yes, state licensed Yes, state licensed
and capped
Licenses initially
allocated via lottery
Yes, state licensed
In person sales and
home delivery
Yes
In-person sales only
No
Individuals can
transfer up to 1 oz,
but there can be no
remuneration
State purchases
from commercial
growers and
supplies to licensed
pharmacies
On-site retail
consumption
No No No Yes, if separate
space within shop is
provided
No No
Cannabis Regulatory Approaches
Canadian Centre on Substance Abuse • Centre canadien de lutte contre les toxicomanies Page 10
Colorado Washington State Oregon Alaska Washington, DC Uruguay
Licensing
body
Colorado
Department of
Revenue
Washington State
Liquor and
Cannabis Control
Board
Oregon Liquor
Control Commission
Alcohol and
Marijuana Control
Office
N/A Instituto de
Regulación y
Control del
Cannabis (IRCCA)
License fees Application fees:
New applicants:
$5,000
Licensed medical
expanding to
retail: $3,000
Testing facility:
$1,000
License fees:
Cultivation facility:
$2,200
Manufacturing:
$2,200
Retail: $3,000
Testing: $2,200
Application: $266;
Annual fee: $1,062
Application: $250
Production:
Micro Tier I:
$1,000
Micro Tier II:
$2,000
Tier I: $3,750
Tier II: $5,750
Processors,
wholesalers,
retailers and
laboratories:
$4,750
Changes to license:
$1,000
Application: $1,000
Retail: $5,000
Limited cultivation:
$1,000
Cultivation: $5,000
Extract-only
manufacturing:
$1,000
Manufacturing:
$5,000
Testing: $1,000
Handler permit: $50
N/A Unknown
License
types
Retail store,
cultivation facility,
product
manufacturer
Producer,
processor, retailer
Production;
processor;
wholesale; retail,
laboratory
4 types: retail,
cultivation (small
grower subcategory
for <500 square
feet of canopy),
manufacturing
(subcategory for
concentrates only),
and testing
N/A State authorized
producer, licensed
pharmacy or
licensed
cooperative
Cannabis Regulatory Approaches
Canadian Centre on Substance Abuse • Centre canadien de lutte contre les toxicomanies Page 11
Colorado Washington State Oregon Alaska Washington, DC Uruguay
License caps Individual with
controlling interest
in 3 or more
cultivation facilities
must have
controlling interest
in at least 1 retail
store for each
multiple of 3
cultivation licenses
Currently 556 No caps on quantity
of licenses or
number of licenses
that can be held by
an individual
No caps on quantity
of licenses or
number of licenses
that can be held by
an individual or
company
N/A 2 licenses granted
for nation-wide
production
Local options Can prohibit or
impose additional
licensing or approval
requirements for
retail businesses
Caps at regional
levels
Business must
notify local authority
before opening
Can only prohibit
licensed facilities
through voter
referendum
Can prohibit
licensed facilities
Cannot prohibit
personal use or
possession
N/A No
License
restrictions
(size or
structure)
Standard
manufacturing
license permits up
to 1,800 plants
Extended count
licenses available
for 6,000 and
10,200 plants
3 tiers of production
based on canopy
size (2,000, 2,001–
10,000 and
10,001–30,000 sq.
ft)
Indoor (max. sq. ft):
Micro Tier I: 625
Micro Tier II:
1,250
Tier I: 5,000
Tier II: 10,000
Outdoor (max. sq. ft):
Micro Tier I: 2,500
Micro Tier II: 5,000
Tier I: 20,000
Tier II: 40,000
1 company can hold
all types of license
except testing
Testing licensees
can hold only
testing licenses
N/A Co-ops can have up
to 45 members and
produce up to 99
plants
2 state-licensed
producers
contracted for
2,000 kg each/year
Location
restrictions
Cannot be co-
located with
alcohol, tobacco or
food sales
Min. 1,000 ft from
schools and child
care centres
Min. 1,000 ft from
schools, parks,
playgrounds, public
transit centres,
game arcades, etc.
Min. 1,000 ft from
schools
Licenses are
transferable
Cannot be co-
located with liquor
licensee
Min. 500 ft from
school, recreation,
youth, religious or
correctional centres
Cannot be co-
located with liquor
licensed premises
Licenses are non-
transferable
N/A Distributed through
pharmacies only
Co-operatives must
be 150 m from
schools
Cannabis Regulatory Approaches
Canadian Centre on Substance Abuse • Centre canadien de lutte contre les toxicomanies Page 12
Colorado Washington State Oregon Alaska Washington, DC Uruguay
Taxation 15% excise; 10%
sales + municipal
taxes (approx. 30%
of total price)
Initially, 25% excise
tax at each of
production,
processing and
retail sale + state
and local sales
taxes (approx. 50%
of total price)
Revised in July
2015 to single 37%
excise tax
Retail sales tax of
17% plus up to 3%
local tax
Excise tax of
$50/oz
N/A Marijuana will not
be taxed, but retail
sales strategy is yet
to be finalized
Dedicated
revenues
Targeted to
prevention,
treatment and
administration
Targeted but a
portion re-allocated
to the general fund
Marijuana Control
and Regulation
Fund distinct from
General Fund
No N/A License fees will
fund the IRCCA
Forms of
sale
Dried marijuana,
extracts, infusions,
concentrates
As of October 1,
2016, edibles must
be stamped to
indicate presence of
THC
Colorado Cannabis
Chamber of
Commerce
implementing
voluntary restriction
on edibles formats:
no human or animal
shapes as of
October 1, 2016
Dried marijuana
and infusions
Dried marijuana,
solids, liquids,
concentrates,
extracts, plants,
seeds
Dried marijuana,
edibles,
concentrates
Product cannot be
adulterated food or
drink, or resemble
familiar food or
drink items,
including candy
Serving size must
be clearly marked
N/A Dried marijuana
3 strains to be
produced by state-
licensed growers
Cannabis Regulatory Approaches
Canadian Centre on Substance Abuse • Centre canadien de lutte contre les toxicomanies Page 13
Colorado Washington State Oregon Alaska Washington, DC Uruguay
Potency and
quantity restrictions
Edibles can be no
stronger than
10 mg per serving;
no more than 10
servings per
package
Edibles can be no
stronger than
10 mg per serving;
no more than 10
servings per
package
Edibles can be no
stronger than 5 mg
per serving; up to
10 servings per
package
Edibles can be no
stronger than 5 mg
per serving; up to
10 servings per
package
N/A Pharmacy sales
limited to 3 strains
produced by state-
licensed growers
THC level capped at
15%
Packaging No more than
100 mg THC per
individually
packaged edible;
servings up to
10 mg must be
clearly marked and
separable
Child-resistant and
not appealing to
children (i.e.
cartoons or similar
characters); cannot
include the word
“candy” as of
October 1, 2016
Usage instructions
for non-edibles;
health warnings;
THC and CBD
content listed
Child resistant and
tamperproof
Edible servings
must be packaged
individually; liquid
product must
include a serving-
size measuring
device
Standard warnings
must be included
on the label
Must indicate THC
and CBD levels,
business or trade
name and inventory
ID number
Child resistant and
not attractive to
minors
Re-sealable if more
than 1 serving
Potency, activation
time, contents and
health warnings
Edible products,
extracts and
concentrates must
list serving size and
number of servings
Standard warnings
must be provided
No cartoon
characters or other
graphics that might
appeal to children
Opaque, re-
sealable, child-
resistant
Identifies store, THC
content
Provides standard
health warnings
N/A No branding
Cannabis Regulatory Approaches
Canadian Centre on Substance Abuse • Centre canadien de lutte contre les toxicomanies Page 14
Colorado Washington State Oregon Alaska Washington, DC Uruguay
Marketing,
advertising
and
sponsorship
Restrictions on
number and
location of signs
Restriction on
advertising or
sponsorship where
more than 30% of
the audience is
under 21
Cannot target out-
of-state persons
Restrictions on
number and
location of signs
No advertising that
is attractive to
minors, promotes
excessive use,
promotes illegal
activity under state
law, or otherwise
presents a threat to
public health and
safety
Restrictions on
number and
location of signs
N/A Not permitted
Residency
restrictions
¼ oz purchase limit
for non-residents
2-year residency
requirement for
retailers, producers
3-month residency
requirement for
retailers, producers
2-year residency
requirement for
production and sale
until 2020
Owners of
marijuana
companies must
have lived in Alaska
for min. of 1 year
No
However, no
opportunities for
non-residents to
purchase
Only Uruguayan
citizens can legally
purchase or grow
marijuana
Driving
restrictions
Yes
5 nanograms of
THC per ml of blood
Yes
5 nanograms of
THC per ml of blood
Details of restrictions
in development
Consumption while
on the highway is a
Class B violation
Yes
Included in existing
impaired driving
prohibition
Yes
Cannot operate a
vehicle while under
the influence
Yes
Testing and limit to
be set by IRCCA
Public use No No No No No No
Cannabis Regulatory Approaches
Canadian Centre on Substance Abuse • Centre canadien de lutte contre les toxicomanies Page 15
Colorado Washington State Oregon Alaska Washington, DC Uruguay
Medical
access
Licensed medical
production and
retail system pre-
dates retail licensing
and continues to
operate in parallel
with retail
Medical and retail
merging under one
system, but with
separate regulations
(e.g., age of access,
purchase quantity,
taxation)
Retailers will need
an endorsement to
also conduct
medical marijuana
sales
Oregon Health
Authority
administers Oregon
Medical Marijuana
Act independently
Medical and
recreational
processing and
sales cannot be co-
located; growth can
be co-located with a
special license
Personal production
limits for medical: 6
plants; can grow for
up to 4 cardholders
Medical marijuana
registry permits
personal production
or production by a
designated
caregiver
No state-licensed
medical
dispensaries
Licensed medical
cultivation and
dispensary system
Legal since 2013,
but framework and
access is still in
development.
Other Outlines a process
for the certification
of researchers
Includes good
Samaritan and
medical care
exclusions
Product cannot be
labelled organic
Handler permits
obtained through
completion of an
education course
and written test
Uruguayans must
register for form of
access (personal
production, co-op or
pharmacy sales)
Cannabis Regulatory Approaches
Canadian Centre on Substance Abuse • Centre canadien de lutte contre les toxicomanies Page 16
Selected Reports The following list presents recent reports that contain analysis of cannabis policy options and implications from a range of perspectives. The
Canadian Centre on Substance Abuse does not endorse the conclusions or recommendations of these reports, but recognizes their
important contribution to the policy dialogue.
A New Approach to Managing Illegal Psychoactive Substances in Canada. (2014). Canadian Public Health Association
Annual Update. (2015). Colorado Department of Revenue Enforcement Division
Cannabis Policy Framework. (2014). Centre for Addiction and Mental Health
Cannabis Regulation: Lessons Learned in Colorado and Washington State. (2015). Canadian Centre on Substance Abuse
Considering Marijuana Legalization: Insights for Vermont and Other Jurisdictions. (2015). Rand Corporation
Joint Venture: A Blueprint for Federal and Provincial Marijuana Policy. (2016). C.D. Howe Institute
Lessons After Two Years of Marijuana Legalization: Short Report. (2015). Smart Approaches to Marijuana
Marijuana for Medical Purposes: Policy Brief. (2014). Canadian Centre on Substance Abuse
Marijuana for Non-Therapeutic Purposes: Policy Considerations. (2014). Canadian Centre on Substance Abuse
Monitoring Health Concerns Related to Marijuana in Colorado: 2014 (2015). Colorado Department of Public Health and
Environment
Pathways Report: Policy Options for Regulating Marijuana in California. (2015). Blue Ribbon Commission on Marijuana Policy
Uruguay’s Drug Policy: Major Innovations, Major Challenges. (2015). Brookings Institution, Washington Office on Latin America3
3 This paper is part of a series, Improving Global Drug Policy: Comparative Perspectives and UNGASS 2016, available from www.brookings.edu.